-
psnet.ahrq.gov/node/50428/psn-pdf
September 04, 2019 - A WebM&M commentary discussed an incident
involving life-threatening hemorrhage due to a broken surgical
-
psnet.ahrq.gov/node/48075/psn-pdf
June 19, 2019 - A WebM&M commentary discussed
problems associated with name similarities in the electronic patient record
-
psnet.ahrq.gov/node/45409/psn-pdf
May 17, 2021 - A past PSNet perspective
discussed medication safety in nursing homes.
-
psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - This webinar discussed process alterations that have the potential to
impact safe medication administration
-
psnet.ahrq.gov/node/74724/psn-pdf
February 02, 2022 - Challenges,
facilitators, and lessons learned are discussed.
-
digital.ahrq.gov/sites/default/files/docs/resource/Joanne_Pohl_IQHIT_Q1_Communications_Tracking_Tool.pdf
June 16, 2021 - conference call,
phone request)
Who present Initiated
by Length Key
agenda/reason
additional issues
discussed
-
psnet.ahrq.gov/node/866905/psn-pdf
October 09, 2024 - dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-
expertise
Diagnostic reasoning is frequently discussed
-
psnet.ahrq.gov/node/865723/psn-pdf
June 18, 2024 - Presenters discussed the survey results, how SOPS
resources were used, and their focus on initiatives
-
psnet.ahrq.gov/node/47789/psn-pdf
March 06, 2019 - A previous WebM&M commentary discussed a suicide attempt on an inpatient medical
unit.
-
psnet.ahrq.gov/node/50799/psn-pdf
January 15, 2020 - role-organizational-and-professional-cultures-medication-safety-scoping-
review-literature
This scoping review discussed
-
psnet.ahrq.gov/node/60196/psn-pdf
April 01, 2020 - This news story discussed the
shortage of protective masks for pharmacists and the potential unintended
-
psnet.ahrq.gov/node/838255/psn-pdf
October 05, 2022 - Speakers participating in this webinar discussed the impact of errors on families, adverse event
prevalence
-
psnet.ahrq.gov/node/836994/psn-pdf
April 27, 2022 - Participants
discussed common mitigation strategies, such as employing a “diagnostic pause.”
-
psnet.ahrq.gov/node/73570/psn-pdf
January 01, 2022 - Barriers and facilitators were
also discussed.
-
psnet.ahrq.gov/node/60266/psn-pdf
April 29, 2020 - This session discussed diagnostic challenges and insights to drive improvements in
COVID-19 identification
-
psnet.ahrq.gov/node/74078/psn-pdf
November 17, 2021 - Organizational and informal safety training and learning are discussed.
-
psnet.ahrq.gov/node/50417/psn-pdf
September 04, 2019 - communicating-uncertainty-narrative-review-and-framework-future-research
Uncertainty in care delivery is rarely discussed
-
psnet.ahrq.gov/node/851201/psn-pdf
July 05, 2023 - Lack of timely diagnosis is a major consideration discussed.
-
psnet.ahrq.gov/node/853628/psn-pdf
September 20, 2023 - of the peers who knew of the situation
and were not psychologically safe enough to report it, are discussed
-
psnet.ahrq.gov/node/48050/psn-pdf
June 05, 2019 - A past
PSNet interview discussed the OpenNotes project.